Dealer / Distributor Page


 iLink Professionals, Inc.
Dealer / Distributor Application

Contact Name:
Title:
Company Name:
Company Address 1:
Company Address 2:
Company Address 3:
Company Address 4:

City: :    State:   Zip:
Company Phone: () - Ext.:
Company Fax: () -
E-Mail:
Where did you hear of us?:
Type of Business:
Years in Business:
Annual Sales Volume:
Resale Sales Tax Number:
Federal ID Number:
iLink's Sales/Account Rep. Name:
Login Password for our Web Site:
(letters or numbers only (min. 4))
Company Web Site Address
(if any):

Comments

 By Submiting this application you agreeing to our standard return policies listed under "policies" link on the bottom. 9/08

 

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